ELECTRIC LEAGUE OF WESTERN PENNSYLVANIA
SCHOLARSHIP AWARDS PROGRAM
SCHOLARSHIP INSTRUCTIONS
Please read this thoroughly and follow all instructions.
1. This application must be completed by the student.
2. Please complete ALL questions and respond using full sentences where possible.
3. This application should be typed and submitted in the MicrosoftWord document format.
4. Please include a school transcript that includes both your GPA and SAT scores.
5. Return by email
I. APPLICANT INFORMATION
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Last Name:
First Name:
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Home address:
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Email:
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Telephone:
Date of Birth:
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Enter the name of your parent or guardian and his or her employer which is an Electric League member:
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Parent/Guardian:
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Company that maintains Electric League membership:
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II. YOUR FAMILY
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1. Parent’s/Guardian’s Names:
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2. Sisters: Number & Ages:
3. Brothers: Number & Ages:
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III. YOUR HIGHSCHOOL
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1. Are you now a senior in high school? ___yes ____no
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2. Enter the name and address of your high school:
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3. Enter your high school graduation date:
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4. Enter your GPA (use weighed GPA):
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5. List any advanced placement (AP) and/or honor courses you have taken:
IV. YOUR SAT SCORES or ACT Scores -- ELWP SAT CODE is #0985
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1. Have you taken the SAT and/or ACT test? _____yes ____no
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Please note that the Electric League SAT code number is 0985. Please indicate this number on your upcoming test to have your scores sent to our office.
If you have taken your SAT / ACT test previously, please send a copy of your scores with this application.
2. Enter your scores:
Writing:
Math:
Critical Reading:
Above scores are: _____SAT _____ACT (check one)
V. YOUR COLLEGE CHOICE
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1. Enter the date you expect to begin further study
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2. What is your planned course of study / major?
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3. What is/are your intended career choice(s) (list no more than three)?
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4. What college/university do you plan to attend?
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5. Is the above school a: ___University ___4-year college (check one)
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VI. YOUR ACTIVITIES
1. List extracurricular activities and student organizations in which you have participated during grades 9 to 12. (please follow column outline & add rows if needed)
Activity Name / Dates / Hours Per Week / Offices Held / Other Comments2. List community activities/volunteerism in which you have participated without pay during grades 9 to 12. (please follow column outline & add columns if needed)
Activity/Group Name / Dates / Hours Per Week / Awards / Other Comments3. List athletic activities in which you have participated during grades 9 to 12. (please follow column outline & add rows if needed)
Activity Name / Dates / Hours Per Week / Offices Held / Other CommentsVII. YOUR WORK EXPERIENCE
List alljobs you have held in the last 4 years, for which you were paid. Include dates of employment and average hours worked per week. (please follow column outline & add rows if needed)
Name of Employer / Type of Work / Dates / Avg. Hours per Week / Other CommentsVIII. PERSONAL READING
Other than classroom assignments, what books and articles have you read within the last six months?
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IX. ESSAY SECTION
1. Please write an essay describing any family characteristics or experiences that you can share with us.
2. What are your educational goals, fields of interests and possible career aspirations?
3. What is the expected cost of your first year of college? Tell us why are you applying for the EL Scholarship? Are you receiving other scholarships?
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Date:
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If you wish to send supporting materials, please feel free to email those to the Electric League at the email address below.
Please return this application to: